Document Detail


Major complications associated with femoral nerve catheters for knee arthroplasty: a word of caution.
MedLine Citation:
PMID:  19553071     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One thousand one hundred ninety patients underwent knee arthroplasty between January 2004 and July 1, 2007, and received an indwelling continuous infusion femoral catheter for postoperative ropivicaine pump infusion. Catheters were placed using electrical stimulation guidance. For the initial 469 patients (group 1), the continuous infusion ran for 2 to 3 days. In 721 patients, the infusion was discontinued 12 hours after surgery. There were 9 femoral nerve palsies (2 in group 1, 7 in group 2) and 8 major falls (0.7%). The overall complication rate was 1.5%, and the risk of permanent nerve injury was 0.2%. Patients should be made aware of these complications as part of the usual informed consent process before using this technique for postoperative pain control after knee arthroplasty. We did not observe fewer falls when the continuous infusion was stopped 12 hours after surgery.
Authors:
Robert J Feibel; Geoffrey F Dervin; Paul R Kim; Paul E Beaulé
Publication Detail:
Type:  Journal Article     Date:  2009-06-24
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  24     ISSN:  1532-8406     ISO Abbreviation:  J Arthroplasty     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-24     Completed Date:  2010-01-06     Revised Date:  2010-07-22    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  132-7     Citation Subset:  IM    
Affiliation:
Division of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / prevention & control
Amides / administration & dosage*,  therapeutic use
Anesthetics, Local / administration & dosage*,  therapeutic use
Arthroplasty, Replacement, Knee / methods*
Catheters, Indwelling / adverse effects*
Femoral Nerve / injuries*,  physiopathology
Humans
Infusion Pumps / adverse effects*
Pain, Postoperative / prevention & control*
Retrospective Studies
Risk Factors
Time Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Amides; 0/Anesthetics, Local; 84057-95-4/ropivacaine
Comments/Corrections
Comment In:
J Arthroplasty. 2010 Aug;25(5):836-7; author reply 837-8   [PMID:  20413248 ]
J Arthroplasty. 2010 Aug;25(5):836; author reply 837-8   [PMID:  20381286 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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